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NPI Code Detail

MEDICARE: MRS. HEATHER N CECIL ARNP

MEDICARE: MRS. HEATHER N CECIL ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3003625KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114927662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER N CECIL ARNP
Provider Business Mailing Address
First Line : 3085 LAKECREST CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1707
Country : US
Telephone Number : 859-258-8600
Fax Number : 859-258-8610
Provider Business Practice Location Address
First Line : 3085 LAKECREST CIR
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1707
Country : US
Telephone Number : 859-258-8600
Fax Number : 859-258-8610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 04/07/2021

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